Individual
DR. MANIKANDAN SUGUMARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028-6042
(602) 264-4834
(602) 254-5178
Mailing address
4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028-6042
(602) 264-4834
(602) 257-8319
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
46359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
709451
—
AZ
Enumeration date
08/27/2008
Last updated
03/23/2023
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